Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.54 / $5,980.00 / $17,030.00	Facility		$1,002.54	$5,980.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.12 / $927.90 / $2,444.48	Professional		$730.12	$927.90	$2,444.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $818.62 / $818.62 / $909.53	Professional		$818.62	$818.62	$909.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.83 / $1,000.71 / $2,131.12	Professional		$748.83	$1,000.71	$2,131.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $564.92 / $807.04 / $1,950.25	Professional		$564.92	$807.04	$1,950.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.33 / $1,094.50 / $2,320.35	Professional		$813.33	$1,094.50	$2,320.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $1,156.91 / $1,463.33	Professional		$421.82	$1,156.91	$1,463.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $850.84 / $1,180.69 / $2,031.56	Professional		$850.84	$1,180.69	$2,031.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,837.34 / $5,952.36 / $16,394.00	Facility		$5,837.34	$5,952.36	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,182.00 / $7,291.36 / $8,430.00	Professional		$6,182.00	$7,291.36	$8,430.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $834.87 / $1,089.85 / $1,524.30	Facility		$834.87	$1,089.85	$1,524.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $814.29 / $1,141.98 / $2,356.06	Professional		$814.29	$1,141.98	$2,356.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,778.97 / $2,778.97 / $3,298.30	Professional		$2,778.97	$2,778.97	$3,298.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $888.00 / $1,354.93	Professional		$548.36	$888.00	$1,354.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,218.00 / $9,131.00	Facility		$2,348.00	$4,218.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.39 / $997.50 / $2,255.10	Professional		$758.39	$997.50	$2,255.10